FOUNTAIN VIEW MANOR MEMORY ARE
NPI 1871741462
Alzheimer Center (Dementia Center) in Granite City, IL

Q: What is Fountain View Manor LLC's NPI number?

The NPI number for Fountain View Manor LLC is 1871741462. It was assigned to this organization in the NPPES registry on September 8, 2008. The provider is doing business as Fountain View Manor Memory Are.

Q: What is Fountain View Manor LLC's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Active since September 08, 2008CLIA 14D1089631 · Waiver

3432 VILLAGE LANE, GRANITE CITY, IL 62040(618) 931-3999(618) 797-0857 Get Directions Write a Review

NPPES record last updated: September 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Fountain View Manor Memory Are NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUNTAIN VIEW MANOR MEMORY ARE (NPI 1871741462) is a healthcare organization registered as an alzheimer center (dementia center) in Granite City, Illinois and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Karen Taylor, Administrator, as its authorized official.

NPPES Registry Identity

NPI1871741462

Entity TypeOrganization

Primary Taxonomy311500000X

Legal Business NameFOUNTAIN VIEW MANOR LLC

Location Address3432 VILLAGE LANEGranite City, IL 62040

Mailing Address3432 Village LaneGranite City, IL 62040 · (618) 931-3999 · Fax (618) 797-0857

Phone(618) 931-3999

Fax(618) 797-0857

Organization SubpartNo

Authorized OfficialKaren TaylorAdministrator · (618) 931-3999

Enumeration DateSeptember 8, 2008

✔ NPI 1871741462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities

Taxonomy Code311500000X

Definition

A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

3432 VILLAGE LANE, Granite City, IL 62040

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Other Names 1

Doing Business AsFountain View Manor Memory Are

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1089631

Fountain View Manor Memory Care · Granite City, IL

Active · expires Sep 22, 2026

CLIA Number14D1089631

Laboratory TypeAssisted Living Facility

Certificate Effective DateSeptember 23, 2024

Certificate Expiration DateSeptember 22, 2026

Laboratory DirectorCynthia Burrows

Laboratory Phone(618) 931-3999

Laboratory LocationFountain View Manor Memory Care3432 Village Lane, Granite City, IL 62040

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fountain View Manor LLC's NPI number?

The NPI number for Fountain View Manor LLC is 1871741462. It was assigned to this organization in the NPPES registry on September 8, 2008. The provider is doing business as Fountain View Manor Memory Are.

Where is Fountain View Manor LLC located?

Fountain View Manor LLC is located at 3432 Village Lane, Granite City, IL 62040. The listed phone number is (618) 931-3999.

What is Fountain View Manor LLC's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Does Fountain View Manor LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1089631) is associated with this NPI, valid through September 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fountain View Manor LLC was last updated on September 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.